Final answer:
The cost of the examination is typically not documented on the official report for echocardiography images; instead, patient identification, facility information, and examination date are included.
Step-by-step explanation:
The item that would more than likely not be documented on the official report for the echocardiography images is D. Cost of the examination. Official reports of medical imaging procedures typically include clinically relevant information such as the Name of the patient (A), Facilities identifying information (B), and the Date of the examination (C). These details are important for identifying the patient and tracking when and where the test was performed. However, the Cost of the examination is generally a billing issue and is documented separately by the administration or billing department of the healthcare facility.